Edward Timothy Dunbar Jr., LCPC
Individual provider Active NPI Mental Health Counselor · Frisco, NC
NPI 1134478092 · NPPES record last updated Jul 21, 2023
Key facts
- NPI
- 1134478092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- BBH-LCPC-LIC-26538 (MT)
- Practice address
- 53269 Runboat Circle
Frisco, NC 27936 - Phone
- (252) 495-2420
- Fax
- (844) 496-9277
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-26538 | MT | MD | Mental Health Counselor |
| A10394 | NC | MD | Professional Counselor |
| 2403 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Area Counseling | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2403 | NC | |
| Professional Counselor | 101YP2500X | A10394 | NC | |
| Professional Counselor |
101YP2500X | |||
| Mental Health Counselor |
101YM0800X | BBH-LCPC-LIC-26538 | MT | Yes |
Addresses
Primary practice location
53269 Runboat Circle
Frisco, NC 27936
Mailing address
PO Box 669
Frisco, NC 27936-0669
Phone (252) 495-2420
Other providers in Frisco, NC
- Cheryl R Dambach
- Glee Lenelle Dunbar
- Nellene Marie Groetsch
- Manhattan Area Counseling
- Mead L. Slagle DDS PLLC
- Michelle Paris Petty
All providers in Frisco, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.